PDCA循环在农牧区新生儿家庭访视护理中的应用

The Application of PDCA Cycle in Neonatal Family Nursing Intervention in Agricultural and Pastoral Areas

目的探讨PDCA循环对农牧区新生儿家庭护理干预的效果。方法将内蒙古民族大学附属医院蒙西医妇产科出生的390例正常新生儿作为研究对象,按照随机数字表法分为干预组和对照组,每组195例。干预组运用PDCA循环模式对其实施家庭护理干预,对照组采用出院常规护理指导。比较两组新生儿生长发育情况、两组新生儿发病情况和两组新生儿家长护理知识掌握情况。结果干预组新生儿身长、体质量增长情况均高于对照组(P<0.05);干预组在新生儿呼吸道感染、湿疹、脐炎、结膜炎、红臀、腹泻方面的发病情况均低于对照组(P<0.05);干预组新生儿家长对护理知识正确率高于对照组(P<0.05)。结论运用PDCA循环管理模式对农牧区新生儿家庭护理进行PDCA循环干预,有效降低新生儿疾病的发生,减轻农牧区新生儿家庭的医疗负担。

Objective To investigate the effect of PDCA cycle in neonatal family nursing intervention in agricultural and pastoral areas. Methods 390 cases of normal newborns born in the De- partment of Mongolian and Western Medicine Gynaecology and Obstetrics in the Affiliated Hospital of Inner Mongolia University for Nationalities were randomly divided into intervention group （195 cases） and control group （195 cases）. The intervention group received family nursing intervention by PDCA cycle mode and the control group adopted discharged routine nursing in- struction. The neonatal growth, development, morbidity and parents＇ nursing knowledge in the two groups were compared. Results The neonatal body length and weight in the intervention group were higher than those in the control group with statistical significance （P 〈 0. 05）. The incidence rate of neonatal respiratory tract infection, eczema, omphalitis, conjunctivitis, red buttock, diarrhea in the intervention group were lower than those in the control group with significant differences（ P 〈 0.05 ）. The neonatal parents＇ nursing knowledge in the intervention group was better than that in the control group（P 〈0.05）. Conclusion The PDCA cycle in neonatal family nursing intervention can effectively reduce neonatal diseases and medical expense in agricultural and pastoral areas.